Husband with bipolar - is there hope?

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I guess I’m just looking for words of encouragement and maybe hope.

My husband has bipolar disorder. The vast majority of the time, he’s great. I enjoy his company a lot. He’s easy to talk to. He’s got great ideas and principals. Of the flaws he has, they’re true about me as well. If it were just those issues, I’d say a lifetime of growing in virtues for both of us would suffice.

He’s always been good with taking his medication, and to be honest, when I read about bipolar disorder, so much of that doesn’t actually fit with our situation. He’s far more stable than that, so I know his medication is working and I’ve never seen what he could be like when off of his medication.

The problem is, our entire marriage has been full of stressful situations since its started. Even my in-laws says we’ve experienced an amazingly higher than average number of stressors since we’ve married. I mean we took a test on stressers and for almost 4 years now, the stressful events in our life has been so common that the tests say we are in danger of getting physically sick because of it all.

So I suppose I should give credit for my husband handling everything as well as he does. Still, throughout our marriage, my husband has tended to become irrationally angry. It was happening once every few months. He could never figure out what he was upset about him. He thinks I’m attacking him and he starts trying to argue with me about the craziest things: “Sheets and blankets are the exact same thing. Don’t tell me they’re different. You’re a liar!” I mean its weird stuff like that. Its a phase where my silence and any words are say are taken as a personal criticism of him.

We did discover that he had acute sleep apnea which may have been part of the triggers. Apparently when he was unmedicated, he’d stay awake unable to fall asleep for days. But more since this fall, he’s been suddenly in the longest period of depression I’ve seen him in. He’s been having anxiety attacks throughout the day, sometimes at work. Its been effecting his work and at night he’s having difficulty falling asleep. The longer it takes him, the more he panics about how he’s going to be able to work the next day.

And because of all this he’s more irritable than he’s been in the past.

At this point, I’ve taken over all the household chores. I go to bed with him each night because he says when I stay up past him, he can’t fall asleep. I let him occassionally skip out at going to Mass if he’s in one of his irritable moods because if he forces himself to go, he typically starts verbally attacking me for no reason on the way to Mass or back home.

I’ve talked with his parents, and they are very supportive. If we need money, they’re there to help. If I need a place to go, they are there. We’ve also been trying to rethink work. We suggested to him that maybe I should work full time while he shifts to part-time till he gets a better mental handle on things. He doesn’t want to do this though. He says he’s not that bad yet. He hates it when I refer to his verbal attacks as abuse. He says he shouldn’t do it, but he feels like I make him sound worse than he is.

He’s agreed to go to counseling with me, so that’s good. Neither one of us want to break up our marriage. But every time I do a search online about dealing with such attacks, every website tells me that it can’t change, and that I need to leave. I mean, the sites all seem to insist that abusers aren’t willing to go to counciling, but he is. I do know he is hesitant to have a major medication change. He says he’s gone through every combination there is, so this is it and everything else he insists won’t work. So yeah, he’s good with medication but he’s very insistent on sticking to what he’s been on since before I met him.

We are having our first appointment with a Catholic therapist next month (after the Holidays). Am I putting false hope that this could help? Is there hope?
 
I wish I had the answer to this…

Bipolar disorder, narcissistic personality disorder, depression…

where does free will come in? Don’t we all have the free will to choose between right and bad behavior?

despite of past experiences, childhood traumas, phobias, don’t people have the free will to govern their own behavior?

I am not sure psychology and psychiatry are exact sciences. Its not like cancer or any other sickness where the diagnosis is backed up with solid proof evidences…
 
I know married couples where one of the spouses have bipolar. It depends on willingness to received treatment. Success may depend on regular therapy session with you being able to give (name removed by moderator)ut on how he is doing. If the anger is a by-product of a manic or depressive state, this can be worked out; however you should never place yourself in the position where you have to be subjected to his anger. You need a back-up plan or place for you or him to go when he gets this way. Love does not mean having to be abused whether the spouse is in control or not. I will pray for the both of you.
 
There is hope! I was diagnosed with depression and anxiety about a month ago. I am in group therapy. I’m in there with people who are bipolar. It seems to help all of us. There are also support groups for different mental illnesses. I would also suggest you going and learning more about his illness.
 
There is hope. The irrational outbursts is not typical of a bipolar disorder, but I am not a doctor or therapist. I know why he would be afraid to change medications. I’m the same way. I want to stick with what I know works. But sometimes, changes do need to be made.

Get a full evaluation from a psychiatrist. Some will allow you to pay on a sliding scale based on your income. Then see a therapist. It appears his thinking does not allow for rational comparisons at times.

Just tell him you love him and pray for him. Mental health issues can be complicated at times. Find a support group for people with bipolar and depression issues. There, I found that people “get” what I’m going through. In your case, you seem to really understand, but if he could be around people with similar problems, it’s a comfort. I know that is true.

God bless you and your husband,

Ed
 
I wish I had the answer to this…

Bipolar disorder, narcissistic personality disorder, depression…

where does free will come in? Don’t we all have the free will to choose between right and bad behavior?

despite of past experiences, childhood traumas, phobias, don’t people have the free will to govern their own behavior?

I am not sure psychology and psychiatry are exact sciences. Its not like cancer or any other sickness where the diagnosis is backed up with solid proof evidences…
I would agree with you that psychology and psychiatry are less exact sciences than the physical sciences, but they are indeed sciences. And bipolar is something that they can typically find brain differences on when MRIs are performed on patients. I know that my husband had abnormal MRI results. The frontal cortex tends to be smaller than in individuals who do not have bipolar.

Its not that his verbal attacks involve no choice. Both the manic and depression stages have irritability symptoms and these states skew with his judgment making it difficult for him to reason rationally.

Basically think of yourself when you’ve been sleep deprived. Its more difficult to think through things and you’re more irritable. It doesn’t mean free will doesn’t exist, but it does make you less culpable in some capacity. Or think of getting intoxicated on alcohol. It doesn’t get rid of free will, but again it weakens your capacity to make moral decisions. As such, drunkenness is sinful in and of itself because it puts you at risk of committing other sins.

My husband, however, is not doing this to himself. He’s already good with medication. I’m just hoping that he can learn some things through therapy that can help us to manage the symptoms and for him to figure out how to deal with his anger. I’m also hoping he’ll be open. He talked to his sleep therapist yesterday about still having difficulty sleeping. The sleep therapist, among other things, to not watch TV in bed and to not watch TV at night. We don’t own a TV, but he’s been lately wanting to watch netflix at night on his ipad while in bed. We used to read, but he doesn’t want to do this. Now he wants to get a TV for the living room to watch it at night (or he suggests we get up at 3am and watch TV which I think is insane). I don’t know why he’s suddenly obsessed with the TV. We used to relax at night listening to old radio dramas or audio books together. We even used to pray the liturgy of the hours at night together. He doesn’t want to do either anymore and says I have to get used to the fact that we’re a TV family. Heck, when we were dating, he was very passionate about us not owning a TV and ensuring we read together regularly as a family. I don’t know why he acts like giving up the TV makes the world too difficult to handle.
 
People who have mental illness, don’t have free will? they can’t control their rants, verbal abuse? — I am asking this question with all sincerity as I have been the receiver of the abuse and it leaves me wondering if it is mental illness or just plain cruelty… Shall we classify all the people in jail, all murderers as victims of mental illness and not “bad” people ???
 
Well, there are certain things that might change with medication and counseling, and there there are other things which will probably not change. His basic personality will probably not change.

However, you mentioned several things. One of the things was that he has sleep apnea. Did you realize that insomnia can even cause depression, and depression can cause insomnia? So, he needs to mention the sleep issue to a doctor, because it is more important an issue than it might appear on the surface. It CAN make him more irritable than he would otherwise would be. That is true.

That’s great he has been willing to go to counseling. It could help some, if he agrees to keep up with it, not stop, and work with the counselor. It depends a lot on him, how willing he would be to listen, and try.

I would try not to expect counseling, or even a change in medications, to do miracles. I’d try to be more realistic with expectations.

The verbal abuse needs to stop, though. It is NOT okay for him to be name calling. Any counseling worth his salt will try to get that stopped as a first step…will say flat out…no name calling…no this…no that…for both of you.

I’ve also heard that most people like this don’t generally change, not that they can’t, more that they don’t want to, are happy with themselves, and their lives the way they are.

Personally, no matter how this turns out, I think it’s good you try marital counseling. If it doesn’t work out as you’d like, he decides to stop, etc., I’d encourage you to keep going, yourself, because YOU will need support, either way.

Let’s hope I loves you, cares, and will be willing to try. The ball’s really in his court, now. God bless you, and good luck!
 
People who have mental illness, don’t have free will? they can’t control their rants, verbal abuse? — I am asking this question with all sincerity as I have been the receiver of the abuse and it leaves me wondering if it is mental illness or just plain cruelty… Shall we classify all the people in jail, all murderers as victims of mental illness and not “bad” people ???
Not everyone who commit crimes have mental illness. Most of the time, if the “bad” person has a mental illness, a psychiatrist will be called to testify. Sometimes it results in a lesser sentence or maybe they have to be admitted into a psychiatric hospital.
 
The sleep deprivation is probably driving a lot of his current problems. Fix that, and a lot of stuff may fall into place.

One of our friends has severe bipolar (as in, can’t work, gets into fights, kicked out of group home bipolar) and he definitely has a lot of problems with anger. He’s been divorced twice, and he’s lost pretty much all of his friends since his symptoms became more severe.

I would definitely think seriously about having an escape plan for if your husband loses it. I think that what you describe is serious enough that you need to start thinking about your physical and emotional safety, as it has to be messing with your sense of reality to live in this environment.

Are you seeing a therapist yet?
 
People who have mental illness, don’t have free will? they can’t control their rants, verbal abuse? — I am asking this question with all sincerity as I have been the receiver of the abuse and it leaves me wondering if it is mental illness or just plain cruelty… Shall we classify all the people in jail, all murderers as victims of mental illness and not “bad” people ???
My husband is like Dr. Jekyll and Mr. Hyde. The great majority of the time he is not verbally abusive. When it does occur, its always when he’s going through a period where he’s having difficulty sleeping, having racing thoughts, anxiety attacks or feeling really depressed (mania or depression). When he’s emotionally stable and normal, it doesn’t happen at all, and when it does happen its not about anything He’s not thinking rationally. And its not like he’s either manic or depressed. He goes through long periods of being perfectly normal.

I wouldn’t be attributing this to the bipolar if it were occuring when he wasn’t experiencing mania or depression, but it always is associated with those times. And, also, he does try. He does succeed many time when he’s having episodes to keep his calm. Sometimes it means I have to give him space to cool off because he’s feeling irrationally anger and he handles it and calms down. Sometimes reading helps to control his racing thoughts and the episode passes without any outbursts. Othertimes that’s just not the case.

But the verbal abuse isn’t regular at all. It often feels like my husband just disappeared and has been replaced by someone else.
 
“(or he suggests we get up at 3am and watch TV which I think is insane).”

Why should you have to get up at 3:am just because he wants to watch tv? And it doesn’t sound like his meds are working properly if he has fits of anger and is verbally abusive to you. Why should you/do you, allow him to be abusive to you?

Since he is willing to go to counseling please do so and strike while that iron is hot. Make an appointment soon so he/you can get some help before things really go south.
 
If he’s on medication, he should be having regular appointmets with the Dr that prescribed them. Is he doing that? You can go to those to and take notes and ask questions.

His sleep apnea needs to be treated. The c-pap machines take a bit if getting used to, but they help tremendously. Getting better sleep improves depression.

He also should have an appt with his regular Dr to rule out any other physical issues. Blood pressure problems and a few other things can manifest as irritability which could be compounding things.

Good that you two are going to counseling. Improving your communication skills is very important. And him understanding things like not having to wake you when he can’t sleep. But that why the medical aspects of his illness need to be treated as well.

Prayer is important. Maybe a regular time in adoration (doesn’t have to be the came time) will help you both calm and rebuild strength for the struggle. I’ll be praying for you. The good news is that my mil is bipolar and my wonderful in laws have been married over 50 years.
 
People who have mental illness, don’t have free will? they can’t control their rants, verbal abuse? — I am asking this question with all sincerity as I have been the receiver of the abuse and it leaves me wondering if it is mental illness or just plain cruelty… Shall we classify all the people in jail, all murderers as victims of mental illness and not “bad” people ???
Everyone has free will. But there are circumstances that lessen culpability for mortal sin. This is true of everyone. That does not mean that we don’t all have to deal with the consequenses of our behavior. If I accidentally trip someone and they fall, I’m not a bad person, but I still need to deal with the consequenses.

So it is with us when we fight. I may get angry and say something very mean - call my spouse a name. Even though its in the heat of the moment, I have still hurt him. It sounds like the OPs husband is prone to anger. That’s exactly why they are going to therapy. Yes someone with mental illness can learn coping strategies just like we all have to. The difference is that depending on the illness and their response to medication, they might never be able to control their reactions completely. That doesn’t mean we shouldn’t encourage them or that they won’t have to deal with the consequences.

Unfortunately many people with mental illness don’t receive good medical treatment and don’t have support to help them cope. That’s why they are more often unemployed, in jail, divorced, even homeless than the general population.
 
With regard to culpability, there’s also the problem that the mentally ill person’s decision-making apparatus and judgment is affected by the illness (to different degrees, obviously). It’s like having a shopping cart where the wheels aren’t straight–you can push as hard as you like straight, but it’s going to be turning left or right.

That lack of total culpability is not, however, a reason to expose oneself or one’s children to abuse.
 
but the symptoms of these mental illness which are a great lack of empathy, verbal abuse…which can lead to physical abuse… is it because the brain is physically defective or is it an inherent character of selfishness which is inborn or due to the environment where they were raised in for example a child who has been spoiled by the mother thus growing up with a great sense of entitlement…
 
twoangels, have hope!

I have bipolar disorder, OCD, and panic disorder. I have had one hospitalization during our 13 year marriage. I too have been on many medication combinations. Any medication adjustment is difficult so I understand your husband dreading it. But, it is necessary. I see my psychiatrist every 8-12 weeks and saw a therapist weekly for a while. I am doing quite well now and live a normal life. I have 3 children whom I homeschool. I can now handle the regular, daily stressors of life. This is what helps me -
  1. Keep all psychiatry/therapy appointments
  2. Do required bloodwork and take medication as prescribed (get a pill reminder if needed)
  3. Ask St. Dympna to pray for me
  4. I memorized the St. Michael prayer and say it often. Depression is a battle in many ways.
  5. Keep a strict sleep hygiene schedule. I can’t stress this enough. I cannot get over how much my mood is negatively affected by lack of sleep. Anything less than 6 hours a night and my moods can start cycling until I get several normal nights sleep.
  6. I asked my priest for the anointing of the sick and that really helped me. My psychiatrist does not believe in religion, and said that I had a placebo effect from it, but I know that something in the spiritual realm changed for me that day. My psychiatrist does acknowledge though that he has observed significant progress since then.
I would not accept any verbal or physical abuse. I just want to say that psychological pain is as real as physical pain. I remember when I misplaced some cartilage in my knee that I was a lot more angry and irritable and snappy with people because I was in pain. That wasn’t a free license to go off on people, it just somehow made my patience threshold lower. When I am depressed or hypomanic I get a similar feeling. Sorry, this is hard to explain.

Your husband is very fortunate to have a wife that loves him so much. It has got to be very draining, but maybe try to think of it as though you’re giving him the same compassion you would if he had diabetes and no matter what medication he took his blood sugar was still not controlled. It would be frustrating for both of you, but just keep encouraging him to find the right medication and counselor. Don’t lose hope, please! God has brought you both this far, he won’t abandon you now <3
 
twoangels, have hope!

I have bipolar disorder, OCD, and panic disorder. I have had one hospitalization during our 13 year marriage. I too have been on many medication combinations. Any medication adjustment is difficult so I understand your husband dreading it. But, it is necessary. I see my psychiatrist every 8-12 weeks and saw a therapist weekly for a while. I am doing quite well now and live a normal life. I have 3 children whom I homeschool. I can now handle the regular, daily stressors of life. This is what helps me -
  1. Keep all psychiatry/therapy appointments
  2. Do required bloodwork and take medication as prescribed (get a pill reminder if needed)
  3. Ask St. Dympna to pray for me
  4. I memorized the St. Michael prayer and say it often. Depression is a battle in many ways.
  5. Keep a strict sleep hygiene schedule. I can’t stress this enough. I cannot get over how much my mood is negatively affected by lack of sleep. Anything less than 6 hours a night and my moods can start cycling until I get several normal nights sleep.
  6. I asked my priest for the anointing of the sick and that really helped me. My psychiatrist does not believe in religion, and said that I had a placebo effect from it, but I know that something in the spiritual realm changed for me that day. My psychiatrist does acknowledge though that he has observed significant progress since then.
I would not accept any verbal or physical abuse. I just want to say that psychological pain is as real as physical pain. I remember when I misplaced some cartilage in my knee that I was a lot more angry and irritable and snappy with people because I was in pain. That wasn’t a free license to go off on people, it just somehow made my patience threshold lower. When I am depressed or hypomanic I get a similar feeling. Sorry, this is hard to explain.

Your husband is very fortunate to have a wife that loves him so much. It has got to be very draining, but maybe try to think of it as though you’re giving him the same compassion you would if he had diabetes and no matter what medication he took his blood sugar was still not controlled. It would be frustrating for both of you, but just keep encouraging him to find the right medication and counselor. Don’t lose hope, please! God has brought you both this far, he won’t abandon you now <3
hello psalm136

how did you realize you were bipolar and how did you come into accepting it? Merry Christmas
 
hello psalm136

how did you realize you were bipolar and how did you come into accepting it? Merry Christmas
Hi Mayita. My symptoms didn’t manifest until my early 20’s. I had been a very successful high school student, in every club imaginable, all advanced classes, then college, then I got married at 22. A few months after being married I discovered that my husband was addicted to pornography and had been since before our marriage. He also gave me other biblical grounds for divorce. Suffice it to say it was a difficult time. Add to that I had to have surgery to remove cysts from my ovaries which the doctors told me would give me a very hard time conceiving children. It was at this time that my symptoms began to manifest. Looking back on my life starting in college I can see some mild bipolar/mood cycling, but I was high functioning and able to hold have a successful job, etc. But when all of these major life stressors came along I was no longer able to deal with it on my own.

With me it began with depression. I stopped eating. Then I lost the ability to sleep. My mind was going 90 miler per hour all the time. I did not know what was wrong with me. This went on for at least a month. I am a 5’5" woman and I got down to 96 pounds. I looked like a concentration camp person. I hurt everywhere. My body hurt, my mind hurt. Then I began having auditory hallucinations. I went on this frenzy of cleaning out my house. I had a gigantic carport sale and sold all my childhood collections of things, lots of my clothes, furniture, you name it. My mom was confused by my actions. My husband thought I was secretly preparing to divorce him and move into a small apartment. I didn’t tell anyone, not even my best friend, that I was suicidal and at the time somehow doing that made sense to me. I wanted to see if I could part with my things and once I did I was ready to commit suicide. I felt like that was the only way to make it all stop. My internal misery was so bad that I wished that my body had a zipper and that I could unzip it and step outside myself to get some relief. The only reason I held off on suicide as long as I did is that I didn’t know how God would take it and that scared me. I can only explain it as my guardian angel or Jesus blessing me with a moment of clarity and one morning after not having slept all night again I asked my husband not to go to work but to bring me to the psychiatric hospital. I was hearing a radio playing, but there was no radio on.

I was there a week (name removed by moderator)atient and most of that is a fog. After my discharge I had to go back everyday but it was outpatient, I could go home at night. It was during my outpatient time that I began to accept my diagnosis. My lithium was reaching therapeutic levels in my bloodwork and that’s when things really started to make sense. I had forgotten what it felt like to feel like my old self again. My doctors said the auditory hallucinations had been brought on by sleep deprivation. They went away as soon as I started eating and sleeping again. I did not need ant-psychotics, but some people in my group did. Everyone is different.

I was never mentally, verbally or physically abusive to anyone. Most of my symptoms were all internalized and directed to myself. I had also begun cutting the inside of my thighs. My husband and I were in couples counseling over his sex addiction and were not being intimate so he never knew. I am a squeamish person and looking back I don’t know how I ever did that.

Not all mental illness involves a personality disorder. I am an empathetic, compassionate, sensitive, gentle, loyal, caring person by nature. That is how my mom describes me growing up and that is the person my husband married. And that is who I am as I sit here and type this today. I felt so normal for so many years after my hospitalization that I wondered some days do I really need this lithium? is it even doing anything? I went off all my meds during my pregnancies and that’s when I guess you could say I truly accepted that my medications are needed. I felt depressed and paranoid.

I don’t know the OP’s exact situation or anyone else’s situation. I am just so grateful that I didn’t give up on my husband or my marriage. I went with him to counseling and let me tell you even my own mother wanted me to seek an annulment. Then when I had my hospitalization, he took extremely good care of me and was very supportive and loved me through it all. That was over 10 yeas ago and we are both so grateful that we had compassion for each other in each of our times of need and honored our marriage vows of good times and in bad. Did it hurt? yes. Was it hard? heck yes. Not all people can change or want to. But I am not living with a cheating sex/porn addict and he is not living with a depressed, suicidal wife. People can and do change. Take your meds, learn about behavior modification therapy, go to Mass every week, receive the Eucharist, live a self-disciplined life, and love one another. That’s really what I wanted to share. ❤️
 
My heart goes totally out to you. My first, now deceased, husband suffered from bipolar disease and I spent eight years of my life fighting against that. Your description of your husband being like Dr jackyll and hide was exactly the same description I used for my previous husband so I totally know what your going through because I lived it for eight years. Unfortunately I don’t have any words of hope…as you can see my previous husband died and not out of natural causes… But I know what you are going through and wanted to say Iwill nbe praying for you, and that you are not alone.
 
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